Community Action South Eastern WV

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY ACTION SOUTH EASTERN WV

Doing business as

Case WV

Practice address

307 Federal St
Suite 323
Bluefield, WV 24701-3063

Phone

(304) 323-8398

Fax

(304) 324-8791

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Brenda Johnson, RN

Title

Program Director

Phone

(304) 323-8398

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CASE WV Doing business as

Tax ID family

Case WV3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Community Action of South Eastern WV

  dba Casewv

  • Home Health Agency
  • Princeton, WV
  • NPI 1982024741
  NPD tax ID
• Community Action of Southeastern West Virginia

  • In Home Supportive Care Agency
  • Bluefield, WV
  • NPI 1568796027
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457451627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 FEDERAL ST",
            "address_2": "SUITE 323",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013063",
            "telephone_number": "304-327-3506",
            "fax_number": "304-327-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 FEDERAL ST",
            "address_2": "SUITE 323",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013063",
            "telephone_number": "304-323-8398",
            "fax_number": "304-324-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION SOUTH EASTERN WV",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "304-323-8398",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004732",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE PROVIDER NUMBER",
            "identifier": "93564",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASE WV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Brian Collie, D.O.
• Misty Collins
• Tina L Collins
• Comfort Zone Massage Therapy
• Community Action of Southeastern West Virginia
• Conklin & Doersch DDS Inc (Bluefield Dental Associates)
• Connection to the Connection Inc (Angel's Caring Hands)
• Kendyl Sierra Constantino, CCC-SLP
• Andrew Cook, DO
• Kathy J Cook

• Home Health Agency in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Home Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.